Years in this position:

Years in CS/SPD:

What levels (tech, manager, surgical processor, etc) are you certified at?: 

When you became certified, did you receive a salary increase?   Select Yes No

Cents per hour     Dollars per hour     Dollars per year

Other (please specify)

Required by hospital     Self/personal professional growth

Other (please specify)

When you became certified, did your job title change? Select Yes No

Do you feel that the CBSPD certification has made a difference in your work performance?  Select Yes No

Have you re-certified yet? Select Yes No

Is the CBSPD's requirement for re-cert points too high? Select Yes No

If you re-certified, how did you re-certify?     Continuing Education     Re-examination


If you DIDN't RE-CERTIFY, please explain why (was it because of the amounts of the CBSPD points required?:


What would help you to re-certify?:



Would you be willing to pay a reasonable fee to the CBSPD for keeping track of your points
during your re-certification period? Select Yes No


The CBSPD holds an Accreditation from the National Commission for Competency Assurance. Has this influenced your
decision to become certified through the CBSPD? Select Yes No


Would you like to pay for your CBSPD certification exam with a credit card? Select Yes No

Would you like to pay for your CBSPD re-certification with a credit card? Select Yes No

If you failed your exam, would you like to re-test immediately? If so, would you be willing to pay
the full cost to do so, or would you rather pay a reduced cost?




How many years would you prefer your "CBSPD certification" to be valid for? Select 1 year 2 years 3 years 4 years 5 years

If you are a technician, would you agree to be required to earn 30 points for a 3 year certification instead of the
100 points for a 5 year certification? Please explain what YOU would prefer.




How many beds does your hospital have? Select Less than 100 100-200 200-300 300-400 400-500 500-600 600+

Have you visited the CBSPD website previously? Select Yes No

Did you find the CBSPD website helpfull? Select Yes No

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